3440.10 with Changes - Navy Medicine - U.S. Navy

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BUMEDINST 3440.10 20 Nov 2008 to develop and provide sound and effective medical recommendations for the isolation, quarantine, restriction of movement, and evacuation of installation personnel. Finally, to assist in the mitigation and recovery efforts, MTFs shall provide targeted and effective public health risk communications for use by the region and installation command elements as well as to all personnel visiting the MTF. 5. The responsibilities outlined in this standard should be carried out in a coordinated manner in conjunction with the NMCPHC and/or the PHEO as appropriate. FHP EMP Standard 12: Response 1. The Navy Medicine FHP EMP establishes common response standards for all Category 5 personnel as required by references (e), (h), (m), (o), (s), and (t) of this section. 2. All response standards must be consistent with existing OSHA, NIOSH, NFPA standards, guidelines, and criteria. Response standards shall focus on the first 72 hours post-event, while acknowledging possible longer response periods during specific events (earthquake, building collapse, CBRNE, etc.). 3. While preservation of evidence is highly desirable in many cases, actions to recover and/or preserve evidence shall not compromise the safety of any personnel. 4. The common command and control construct identified in reference (u) of this section shall be used for all EM events covered by this instruction, with the possible exception of bioterrorism events. This construct shall utilize the HICS and Unified Command System (UCS) as specified within references (t) and (v) of this section. 5. Base Operating Support (BOS) Category 1 and 5 personnel will respond in accordance with reference (b) of this section. 6. MTFs shall use HICS and provide the adequate first receiver functions to include, but not limited to: a. Medical and syndromic surveillance. b. Thorough mass casualty decontamination. c. Triage and Treatment. d. Transport. e. Shelter, shelter-in-place, quarantine, and restriction of movement. 25 Enclosure (1)
f. MTF security and zone management. g. Psychological care. h. Medical Examiner. BUMEDINST 3440.10 20 Nov 2008 7. SOH and IH personnel, where available, shall advise the MTF commander on respiratory protection and heat stress management. SOH and IH personnel may assist HAZMAT team personnel, when trained and equipped to do so. 8. Response efforts may quickly exhaust MTF EM capabilities and require the capabilities of regional, installation, Federal, State, local, other Service, and/or private (or HN) EM-related agencies and departments. Prior coordination with these agencies and departments will significantly enhance the overall EM capabilities that may be brought to bear in a significant event. The implementation of appropriate Memorandum of Understanding (MOU) or Memoranda of Agreement (MOA) in advance of actual emergency situations is encouraged. Special attention and planning must be focused on the fiscal and logistical impact of response efforts. FHP EMP Standard 13: Recovery 1. The Navy Medicine FHP EMP establishes common recovery standards for Category 5 personnel as required by references (e), (l), (m), (o), (q), (w), (x), and (y) of this section. 2. All recovery standards must be consistent with existing OSHA guidelines and NFPA standards. Navy Environmental and Natural Resources Program representatives shall ensure that all recovery efforts are in compliance with reference (z) of this section and applicable EPA guidelines. 3. Recovery efforts may quickly exhaust MTF EM capabilities and require the capabilities of regional, installation, Federal, State, local, other Service, and/or private (or HN) EM-related agencies and departments. Prior coordination with these agencies and departments will significantly enhance the overall EM capabilities that may be brought to bear in a significant event. Special attention and planning must be focused on the fiscal and logistical impact of recovery efforts. FHP EMP Standard 14: Sustainment 1. BUMED will establish the programming, budgeting, and resourcing necessary to develop and sustain FHP EMP requirement per references (e) and (o) of this section. The MTF FHP EMP, via the NAVMEDREG, shall provide BUMED with any unique MTF EM mission requirements, deficiencies, or new start programs. BUMED will validate these requests in close coordination with the respective NAVMEDREG. 26 Enclosure (1)
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3440.10 with Changes - Navy Medicine - U.S. Navy

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